Development of a Gait Analysis Application for Assessing Upper and Lower Limb Movements to Detect Pathological Gait

Pathological gait in patients with Hakim’s disease (HD, synonymous with idiopathic normal-pressure hydrocephalus; iNPH), Parkinson’s disease (PD), and cervical myelopathy (CM) has been subjectively evaluated in this study. We quantified the characteristics of upper and lower limb movements in patien...

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Main Authors: Atsuhito Taishaku, Shigeki Yamada, Chifumi Iseki, Yukihiko Aoyagi, Shigeo Ueda, Toshiyuki Kondo, Yoshiyuki Kobayashi, Kento Sahashi, Yoko Shimizu, Tomoyasu Yamanaka, Motoki Tanikawa, Yasuyuki Ohta, Mitsuhito Mase
Format: Article
Language:English
Published: MDPI AG 2024-09-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/24/19/6329
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author Atsuhito Taishaku
Shigeki Yamada
Chifumi Iseki
Yukihiko Aoyagi
Shigeo Ueda
Toshiyuki Kondo
Yoshiyuki Kobayashi
Kento Sahashi
Yoko Shimizu
Tomoyasu Yamanaka
Motoki Tanikawa
Yasuyuki Ohta
Mitsuhito Mase
author_facet Atsuhito Taishaku
Shigeki Yamada
Chifumi Iseki
Yukihiko Aoyagi
Shigeo Ueda
Toshiyuki Kondo
Yoshiyuki Kobayashi
Kento Sahashi
Yoko Shimizu
Tomoyasu Yamanaka
Motoki Tanikawa
Yasuyuki Ohta
Mitsuhito Mase
author_sort Atsuhito Taishaku
collection DOAJ
description Pathological gait in patients with Hakim’s disease (HD, synonymous with idiopathic normal-pressure hydrocephalus; iNPH), Parkinson’s disease (PD), and cervical myelopathy (CM) has been subjectively evaluated in this study. We quantified the characteristics of upper and lower limb movements in patients with pathological gait. We analyzed 1491 measurements of 1 m diameter circular walking from 122, 12, and 93 patients with HD, PD, and CM, respectively, and 200 healthy volunteers using the Three-Dimensional Pose Tracker for Gait Test. Upper and lower limb movements of 2D coordinates projected onto body axis sections were derived from estimated 3D relative coordinates. The hip and knee joint angle ranges on the sagittal plane were significantly smaller in the following order: healthy > CM > PD > HD, whereas the shoulder and elbow joint angle ranges were significantly smaller, as follows: healthy > CM > HD > PD. The outward shift of the leg on the axial plane was significantly greater, as follows: healthy < CM < PD < HD, whereas the outward shift of the upper limb followed the order of healthy > CM > HD > PD. The strongest correlation between the upper and lower limb movements was identified in the angle ranges of the hip and elbow joints on the sagittal plane. The lower and upper limb movements during circular walking were correlated. Patients with HD and PD exhibited reduced back-and-forth swings of the upper and lower limbs.
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spelling doaj-art-73915fd711ef4a8a9695a3db104d2ca52025-08-20T01:47:37ZengMDPI AGSensors1424-82202024-09-012419632910.3390/s24196329Development of a Gait Analysis Application for Assessing Upper and Lower Limb Movements to Detect Pathological GaitAtsuhito Taishaku0Shigeki Yamada1Chifumi Iseki2Yukihiko Aoyagi3Shigeo Ueda4Toshiyuki Kondo5Yoshiyuki Kobayashi6Kento Sahashi7Yoko Shimizu8Tomoyasu Yamanaka9Motoki Tanikawa10Yasuyuki Ohta11Mitsuhito Mase12Department of Neurosurgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, JapanDepartment of Neurosurgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, JapanDepartment of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine, Sendai 980-8575, JapanDigital Standard Co., Ltd., Osaka 530-0014, JapanShin-Aikai Spine Center, Katano Hospital, Katano 576-0043, JapanDivision of Neurology and Clinical Neuroscience, Department of Internal Medicine III, Yamagata University School of Medicine, Yamagata 990-9585, JapanHuman Augmentation Research Center, National Institute of Advanced Industrial Science and Technology (AIST), University of Tokyo, Kashiwa II Campus, Chiba 277-0882, JapanDepartment of Rehabilitation, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, JapanDepartment of Rehabilitation, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, JapanDepartment of Neurosurgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, JapanDepartment of Neurosurgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, JapanDivision of Neurology and Clinical Neuroscience, Department of Internal Medicine III, Yamagata University School of Medicine, Yamagata 990-9585, JapanDepartment of Neurosurgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, JapanPathological gait in patients with Hakim’s disease (HD, synonymous with idiopathic normal-pressure hydrocephalus; iNPH), Parkinson’s disease (PD), and cervical myelopathy (CM) has been subjectively evaluated in this study. We quantified the characteristics of upper and lower limb movements in patients with pathological gait. We analyzed 1491 measurements of 1 m diameter circular walking from 122, 12, and 93 patients with HD, PD, and CM, respectively, and 200 healthy volunteers using the Three-Dimensional Pose Tracker for Gait Test. Upper and lower limb movements of 2D coordinates projected onto body axis sections were derived from estimated 3D relative coordinates. The hip and knee joint angle ranges on the sagittal plane were significantly smaller in the following order: healthy > CM > PD > HD, whereas the shoulder and elbow joint angle ranges were significantly smaller, as follows: healthy > CM > HD > PD. The outward shift of the leg on the axial plane was significantly greater, as follows: healthy < CM < PD < HD, whereas the outward shift of the upper limb followed the order of healthy > CM > HD > PD. The strongest correlation between the upper and lower limb movements was identified in the angle ranges of the hip and elbow joints on the sagittal plane. The lower and upper limb movements during circular walking were correlated. Patients with HD and PD exhibited reduced back-and-forth swings of the upper and lower limbs.https://www.mdpi.com/1424-8220/24/19/6329deep learningmotion trackingmarkerless motion capturequantitative gait assessmentsmartphone deviceidiopathic normal-pressure hydrocephalus
spellingShingle Atsuhito Taishaku
Shigeki Yamada
Chifumi Iseki
Yukihiko Aoyagi
Shigeo Ueda
Toshiyuki Kondo
Yoshiyuki Kobayashi
Kento Sahashi
Yoko Shimizu
Tomoyasu Yamanaka
Motoki Tanikawa
Yasuyuki Ohta
Mitsuhito Mase
Development of a Gait Analysis Application for Assessing Upper and Lower Limb Movements to Detect Pathological Gait
Sensors
deep learning
motion tracking
markerless motion capture
quantitative gait assessment
smartphone device
idiopathic normal-pressure hydrocephalus
title Development of a Gait Analysis Application for Assessing Upper and Lower Limb Movements to Detect Pathological Gait
title_full Development of a Gait Analysis Application for Assessing Upper and Lower Limb Movements to Detect Pathological Gait
title_fullStr Development of a Gait Analysis Application for Assessing Upper and Lower Limb Movements to Detect Pathological Gait
title_full_unstemmed Development of a Gait Analysis Application for Assessing Upper and Lower Limb Movements to Detect Pathological Gait
title_short Development of a Gait Analysis Application for Assessing Upper and Lower Limb Movements to Detect Pathological Gait
title_sort development of a gait analysis application for assessing upper and lower limb movements to detect pathological gait
topic deep learning
motion tracking
markerless motion capture
quantitative gait assessment
smartphone device
idiopathic normal-pressure hydrocephalus
url https://www.mdpi.com/1424-8220/24/19/6329
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